Mid-Columbia Medical Center
NPI 1053409599ActiveOrganization· General Practice· The Dalles, OR
General Practice in The Dalles, Oregon, registered in NPPES in October 2006. The authorized official on file is Kyle King, Service Area President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053409599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Mar 28, 2025 |
| Certified by provider | Mar 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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